Quality of life of cervical cancer patient with support from nuclear family and extended family in Dr. Sardjito general hospital, Yogyakarta Indonesia: a comparative study

Authors

  • Heru Pradjatmo Department of Medicine, Gadjah Mada University and Dr. Sardjito General Hospital, Yogyakarta Indonesia
  • Wenny Artanty Nisman Department of Medicine, Gadjah Mada University and Dr. Sardjito General Hospital, Yogyakarta Indonesia
  • Yayuk Fatmawati Department of Obstetrics and Gynecology, Gadjah Mada University and Dr. Sardjito General Hospital, Yogyakarta Indonesia

DOI:

https://doi.org/10.18203/2320-6012.ijrms20173561

Keywords:

Cervical cancer, Extended family, Family support, Nuclear family, Quality of life

Abstract

Background: Nature of the disease, side effect from treatments such as surgery, chemotherapy, and chemo radiation reduce the patient’s quality of life. Thus, the family support is substantial in cancer patient treatment. Aim of this study was comparing the quality of life of patients with cervical cancer in support of the nuclear family and extended family at Dr. Sardjito hospital Yogyakarta, Indonesia.

Methods: The study population were all cervical cancer patients treated with chemotherapy in Dr. Sardjito general hospital, Yogyakarta, Indonesia from October to November 2016. Samples were collected using purposive sampling to obtain 62 respondents, 30 respondents for nuclear family group and 32 for extended family group. The study instruments were family support questionnaire, EORTC QLQ-C30 Indonesian version, and EORTC QLQ-C24 were translated to Indonesian. The quality of life was assessed during chemotherapy.

Results: Quality of life for cervical cancer patient from supportive family had mean >50. The respective mean of general health status for patients from supportive nuclear and extended family were 76.28±21.434 and 67.82±22.017. Nearly all items in symptom, multi-item and single-item scales had mean <50, except item financial problem. Meanwhile, quality of life for cervical cancer patient from unsupportive family had mean >50. The respective mean of general health status for patients from unsupportive nuclear and extended family were 70.83±20.972 and 75.00±8.33. Nearly all items in symptom, multi-item and single-item scales had mean <50, except items fatigue and sore. Several items of quality of life had p<0.05, which were constipation (p=0.049), and financial problem (p=0.045).

Conclusions: There was no significant difference between quality of life of cervical cancer patients with support from nuclear and extended families. However, in ‘financial problem’ item, nuclear family had better quality of life while in contrast, extended family had better quality of life in ‘constipation’ item. Family education program needed because several domains of quality of life is still low and requires family involvement in treatment.

Author Biography

Heru Pradjatmo, Department of Medicine, Gadjah Mada University and Dr. Sardjito General Hospital, Yogyakarta Indonesia

master of nursing

References

American cancer society, 2016. Available at http://www.cancer.org/cancer/cervicalcancer/. Accessed on 26th February 2016.

World health organization., 2015. Noncommunicable Disease (NCD) Country profile 2014. Available at http://www.who.int/ mediacentre/factssheets/fs297/en/. Accessed on 25th April 2015.

Yoo, Shin-Hye, Young HY, Sangmin P, Young Ae K, Soon-Yoon Park, et al. The correlates of unemployment and its association with quality of life in cervical cancer survivors. J Gynecologic Oncol. 2013;24(4):367-75.

Juhani J, Gustavsson-Lilius M, Hietanen P. Anger expression, partner support, and quality of life in cancer patients. J Psychosomatic Res. 2008;66:235-44.

Effendy, Nasrul. Fundamentals of public health nursing, 2nd edn. EGC. Jakarta. 1998.

Effendi, Ferry, Makhfudli. Community health nursing theory and practice in nursing. Salemba medika. Jakarta. 2013.

Damayanti, Emmilia A. Differences in the quality of life of patients with advanced cervical cancer post-chemotherapy and post-radiotherapy. Thesis post graduate program. Faculty of medicine Universitas Gadjah Mada Yogyakarta: 2015.

Lee Y, Lim MC, Kim SI, Joo J, Lee DO, Park SY. Comparison of quality of life and sexuality between cervical cancer survivors and healthy women. Cancer research and treatment. 2016;48(4):1321-9.

Osann K. Factors associated with poor quality of life among cervical cancer survivors: Implications for clinical care and clinical trials. Gynecologic Oncol. 2014;135:266-72.

Li CC, Chen ML, Chang TC, Chou HH, Chen MY. Social support buffers the effect of self-esteem on quality of life of early-stage cervical cancer survivors in Taiwan. Eu J Oncol Nursing. 2015;19(5):486-94.

De Groot JM, Mah K, Fyles A, Winton S, Greenwood S, DePetrillo AD, et al. The psychosocial impact of cervical cancer among affected women and their partners. Int J Gynecol Cancer. 2005;15(5):918-25.

Vistad I, Fossaa SD, Dahl AA. A critical review of patient rated quality of life studies of long-term survivors of cervical cancer. Gynecologic Oncol. 2007;102:563-72.

Yagmur Y, Duman M. The relationship between the social support level perceived by patients with gynecologic cancer and mental adjustment to cancer. Int J Gynecol Obstetrics. 2016;134(2):208-11.

Effendy C, Vissers K, Osse BH, Tejawinata S, Vernooij‐Dassen M, Engels Y. Comparison of problems and unmet needs of patients with advanced cancer in a European country and an Asian country. Pain Practice. 2015;15(5):433-40.

Tadele N. Evaluation of quality of life of adult cancer patients attending Tikur Anbessa specialized referral hospital, Addis Ababa Ethiopia. Ethiopian J Health Sci. 2015;25(1):53-62.

Greimel ER, Winter R, Kapp KS, Haas J. Quality of life and sexual functioning after cervical cancer treatment: A long‐term follow‐up study. Psycho‐Oncol. 2009;18(5):476-82.

Lee Y, Lim MC, Kim SI, Joo J, Lee DO, Park SY. Comparison of quality of life and sexuality between cervical cancer survivors and healthy women. Cancer research and treatment. J Korean Cancer Association. 2016;48(4):1321.

Torkzahrani S, Rastegari L, Khodakarami N, Akbazadeh-Baghian A, Alizadeh K. Iranian Red Crescent Med J. 2013;15(4):320-3.

Awasthi P, Mishra RC. Can social support and control agency change illness consequences? Evidence from cervix cancer patients. J Med Psychol. 2013;2(03):115.

Dahiya N, Acharya AS, Bachani D, Sharma D, Gupta S, Haresh K, et al. Quality of life of patients with advanced cervical cancer before and after chemoradiotherapy. Asian Pac J Cancer Prev. 2016;17(7):3095-9.

Friedman, Marilyn M, Bowden VR, Jones EG. Family nursing research, theory and practice, 5th edn. Prentice Hall. New Jersey. 2003.

Downloads

Published

2017-07-26

How to Cite

Pradjatmo, H., Nisman, W. A., & Fatmawati, Y. (2017). Quality of life of cervical cancer patient with support from nuclear family and extended family in Dr. Sardjito general hospital, Yogyakarta Indonesia: a comparative study. International Journal of Research in Medical Sciences, 5(8), 3554–3559. https://doi.org/10.18203/2320-6012.ijrms20173561

Issue

Section

Original Research Articles